Phthisioophthalmological sanatarium “Krasny Val” under conditions of Coronavirus COVID-19 pandemic

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Abstract

During the Coronavirus infection pandemic (2019–2021), the admission of patients from antituberculosis dispensaries decreased (2261 vs 2747 in 2016–2018). At the same time, the number of patients with tuberculous haematogenous uveitides decreased significantly (55% vs 76%; р < 0.0001), and that with non-tuberculous ophthalmic diseases by contrast significantly increased (23% vs 43%; р < 0.0001). Among tuberculous uveitides, high amount of chorioretinitis (46%) and of panuveitis (11%) was found. Their severity was escalated by complications (in 77–86% of patients) and frequent concomitant systemic conditions. In 277 patients, the post-covid syndrome was revealed (after prior Coronavirus COVID-19 infection). During the pandemic, the admission to the sanatorium of patients with active (dispensary follow-up care group I) and chronic (dispensary follow-up care group II) forms of ocular tuberculosis significantly decreased: 9% vs 15%, and 18% vs 27%, respectively; that with clinical recovery (dispensary follow-up care group III) – increased (73% vs 58%). Active tuberculosis forms of other localization were excluded.

A reduction in the quality of ocular tuberculosis diagnosis and treatment in dispensaries is related to decrease in number of qualified phtisioophthalmologists, periodical breakdowns in supply of tuberculin and of some medications.

In the “Krasny Val” sanatorium, patients received additional examination, full-fledged chemotherapy, and necessary rehabilitation.

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About the authors

Elena I. Ustinova

Pavlov First St. Petersburg State Medical University

Email: ustinova-12@bk.ru

Dr. Sci. (Med.), Professor

Russian Federation, Saint Petersburg

Mikhail N. Simchuk

Phtisioophthalmological sanatorium “Krasniy Val”

Email: 1987750@mail.ru

MD, Cand. Sci. (Med.), Ophthalmologist, Head of the sanatorium

Russian Federation, Leningrad Region, Skreblovskoe rural settlement

Sergey Yu. Astakhov

Pavlov First St. Petersburg State Medical University

Email: astakhov73@mail.ru
ORCID iD: 0000-0003-0777-4861
SPIN-code: 7732-1150

Dr. Sci. (Med.), Professor, Head of the Department

Russian Federation, Saint Petersburg

Tatiana I. Kuznetsova

Pavlov First St. Petersburg State Medical University

Email: brionika@gmail.com

MD, Cand. Sci. (Med.), Ophthalmologist

Russian Federation, Saint Petersburg

Vladimir M. Bataev

Phtisioophthalmological sanatorium “Krasniy Val”

Author for correspondence.
Email: vmbataev@gmail.com

MD, Cand. Sci. (Med.), Head of the Department

Russian Federation, Leningrad Region, Skreblovskoe rural settlement

Sergei L. Lyapin

Phtisioophthalmological sanatorium “Krasniy Val”

Email: Lapin_kulta75@mail.ru

Ophthalmologist

Russian Federation, Leningrad Region, Skreblovskoe rural settlement

Tatiana I. Bezrukavaja

Phtisioophthalmological sanatorium “Krasniy Val”

Email: Bezrukavayat@yandex.ru
Russian Federation, Leningrad Region, Skreblovskoe rural settlement

References

  1. Bataev VM. Znachenie tuberkulinovykh prob v sisteme diagnostiki tuberkuleza glaz [dissertation abstract]. Leningrad, 1991. 24 p. (In Russ.)
  2. Lyapin SL. Khimioterapiya retsidivov tuberkuleza glaz v spetsializirovannom sanatorii v sovremennykh usloviyakh [dissertation abstract]. Saint Petersburg, 2015. 22 p. (In Russ.)
  3. Kuznetsova TI. Osobennosti taktiki vedeniya patsientov s uveitami pri sistemnykh zabolevaniyakh [dissertation abstract]. Saint Petersburg, 2020. 22 p. (In Russ.)
  4. Ustinova YuI. Tuberkulez glaz i skhodnye s nim zabolevaniya: rukovodstvo dlya vrachei. 2-e izd., pererab. i dop. Saint Petersburg: Levsha, 2011. 420 p. (In Russ.)
  5. Ustinova YuI. Ehndogennye uveity: izbrannye lektsii dlya vrachei-oftal’mologov. 2-e izd., pererab. i dop. Saint Petersburg: Eco-Vector, 2019. P. 111–136, 356-358. (In Russ.)
  6. Chentsova OB, Belova TV. Klinicheskie varianty tuberkuleza glaza i orbity. Russian Journal of Clinical Ophthalmology. 2006;7(4): 165–168. (In Russ.)
  7. Samoilov AYa, Yuzefova FI, Azarova NS. Tuberkuleznye zabolevaniya glaz. Leningrad: Medgiz, 1963. 253 p. (In Russ.)
  8. Ustinova YI. Is it possible to determine general pathways for the ocular tuberculosis therapy efficiency enhancement based on the treatment experience? Ophthalmology Journal. 2014;7(3):17–27. (In Russ.) doi: 10.17816/OV2014317-27
  9. Neroev VV, Katargina AA. Tuberkuleznyi uveit: klinicheskie rekomendatsii. Moscow: MZ RF, 2017. 36 p. (In Russ.)
  10. Ustinova YuI, Bataev VM. Sistema diagnostiki tuberkuleza glaz, ee obosnovanie i ehffektivnost’. Diagnostika i differentsial’naya diagnostika tuberkuleza legkikh i vnelegochnykh lokalizatsii. Sbornik trudov MNIIT, LNIIF. Saint Petersburg, 1991. P. 194–199. (In Russ.)
  11. Ustinova YI, Bataev VM. Differentsial’naya diagnostika tuberkuleznykh uveitov. Tuberkulez kak ob’ekt nauchnykh issledovanii. Sbornik trudov SPb NIIF, X let. Saint Petersburg, 1994. Vol. 1. P. 174–181. (In Russ.)
  12. Ustinova YI, Lyapin SL. Retsidivy tuberkuleza glaz: lechenie, rezul’taty. Ophthalmology Journal. 2010;3(4):79–85. (In Russ.)
  13. Khokkanen VM. Ehksperimental’noe obosnovanie mestnogo primeneniya antibakterial’nykh preparatov pri tuberkuleze glaz. Khimioterapiya tuberkuleza. Moscow, 2000. P. 59–60. (In Russ.)
  14. Ustinova YuI, Lyapin SL, Simchuk MN. Osobennosti lechebno-diagnosticheskoi pomoshchi bol’nym tuberkulezom glaz v spetsializirovannom sanatorii v sovremennykh usloviyakh. Ophthalmology Journal. 2011;4(1):63–71. (In Russ.)
  15. Ustinova YuI, Lyapin SL, Simchuk MN. Ehffektivnost’ lecheniya tuberkuleza glaz na sanatornom ehtape s uchetom predshestvuyushchego dispansernogo lecheniya. Proceedings of the All-Russian scientific and practical conference of phthisiatricians: “Sovershenstvovanie meditsinskoi pomoshchi bol’nym tuberkulezom”. 2011 Oct 20–22, Saint Petersburg. P. 298–299. (In Russ.)
  16. Ustinova YuI, Simchuk MN, Lyapin SL. Opyt lecheniya tuberkuleza glaz v spetsializirovannom sanatorii. Proceedings of the 1st Congress of the National Association of TB Physicians: “Aktual’nye problemy i perspektivy razvitiya protivotuberkuleznoi sluzhby v Rossiiskoi Federatsii”. Saint Petersburg, 2012. P. 321–322. (In Russ.)
  17. Ustinova YuI, Bataev VM. Diagnostika tuberkuleza glaz: otsenka ehffektivnosti primenyaemykh metodik (po rezul’tatam mnogoletnikh issledovanii). Proceedings of the Conference dedicated to the 195th anniversary of the first in Russia Department of Ophthalmology, VMA named after V.I. CM. Kirov: “Sovremennye tekhnologii diagnostiki i lecheniya pri porazheniyakh organa zreniya”. 2013 Sept 12–13, Saint Petersburg. P. 138–139. (In Russ.)
  18. Ustinova YuI. Hematogenic ocular tuberculosis: pathohistomorphology, diagnosis. Ophthalmology Journal. 2013;6(3):51–61. (In Russ.) doi: 10.17816/OV2013351-61
  19. Ustinova YuI, Lyapin SL, Simchuk MN. A patient was admitted to a sanatorium with insufficiently confirmed tuberculosis etiology of uveitis: what is to be done? Ophthalmology Journal. 2014;7(4):73–78. (In Russ.) doi: 10.17816/OV2014473-78
  20. Ustinova YuI, Lyapin SL. Etiotropic chemotherapy efficacy in eye tuberculosis and ways of its improvement. Ophthalmology Journal. 2009;2(3):63–68. (In Russ.)
  21. Ustinova YuI, Lyapin SL. Retsidivy tuberkuleza glaz: lechenie, rezul’taty. Ophthalmology Journal. 2010;3(4):79–84. (In Russ.)
  22. Ustinova YuI, Lyapin SL. Remote treatment results in patients with eye tuberculosis. Ophthalmology Journal. 2013;6(2):60–66. (In Russ.) doi: 10.17816/OV2013260-66
  23. Vyrenkova TE. Rol’ i znachenie tuberkulinodiagnostiki dlya rannego vyyavleniya spetsificheskikh zabolevanii glaz. The Russian annals of ophthalmology. 1979;95(6):33–36. (In Russ.)
  24. Vyrenkova TE. Tuberkulez glaz. Tuberkulez: rukovodstvo dlya vrachei. Khomenko AG, editor. Moscow: Meditsina, 1996. P. 398–410. (In Russ.)
  25. Ustinova YuI, editor. Organizatsiya aktivnogo vyyavleniya i sovremennye metody diagnostiki tuberkuleza glaz: metodicheskie rekomendatsii MZ SSSR. Moscow, 1989. 29 p. (In Russ.)
  26. The Standardization of Uveitis Nomenclature (SUN) Working Group. Classification Criteria for Tubercular Uveitis. Am J Ophthalmol. 2021;228:142–151. doi: 10.1016/j.ajo.2021.03.040
  27. Kherbort S. Tyazhelye uveity bakterial’noi ehtiologii: tuberkulez i sifilis. Proceedings of the International Ophthalmological Congress “Belye nochi”. Saint Petersburg, 2013. (In Russ.)
  28. Oluleye TS.Tuberculous uveitis. I Multidiscip Healsthcare. 2013;(6):41–43. doi: 10.2147/JMDH.S38752
  29. Ustinova YI, Bataev VM. Ocular tuberculosis diagnosis at antitubercu — lous institutions under curent conditions. Ophthalmology Journal. 2012;5(1):58–63. (In Russ.)
  30. Ustinova YI, Bataev VM. On the causes of ocular tuberculosis morbidity rate decrease in Russia over the last years. Ophthalmology Journal. 2013;6(1):66–72. (In Russ.) doi: 10.17816/OV2013166-72
  31. Ustinova YuI, Il’kova OP, Sal’nikov NN. An improvement of medical care for children and adolescents with ocular tuberculosis in Saint Petersburg — an important goal of city dispensary. Ophthalmology Journal. 2014;7(4):79–83. (In Russ.) doi: 10.17816/OV2014479-83

Supplementary files

Supplementary Files
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1. Fig. 1. The admission of patients with tuberculous hematogenous uveitis to the sanatorium during the pandemic years and during previous years

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2. Fig. 2. Dynamics of admission to the sanatorium of patients with tuberculous hematogenous uveitis from 2016 to 2021

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Copyright (c) 2022 Ustinova E.I., Simchuk M.N., Astakhov S.Y., Kuznetsova T.I., Bataev V.M., Lyapin S.L., Bezrukavaja T.I.

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